Provider Demographics
NPI:1700617503
Name:MAY, KATHERINE ROSE (APRN)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ROSE
Last Name:MAY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:ROSE
Other - Last Name:GOVERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:941 150TH RD
Mailing Address - Street 2:
Mailing Address - City:HUNTER
Mailing Address - State:KS
Mailing Address - Zip Code:67452-9345
Mailing Address - Country:US
Mailing Address - Phone:620-491-0021
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 70
Practice Address - Street 2:
Practice Address - City:OSBORNE
Practice Address - State:KS
Practice Address - Zip Code:67473-0070
Practice Address - Country:US
Practice Address - Phone:785-346-2510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-83483-082363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily